Individual provider Active NPI

Erin Foster-Vrenon, APRN

  • Nurse Practitioner
  • Gardnerville, NV
National Provider Identifier
1114215381
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN001289 Issued in NV
Practice address
1329 Waterloo LN
Gardnerville, NV 89410-5385
Phone
(775) 782-9038
Fax
(775) 782-9043
NPI assigned
Jul 21, 2011
Last updated
Dec 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN001289 NV Primary

Addresses

Primary practice location

1329 Waterloo LN
Gardnerville, NV 89410-5385

Mailing address

1329 Waterloo LN
Gardnerville, NV 89410-5385
Phone (775) 782-9038

Other identifiers 1

IdentifierTypeStateIssuer
12400702OtherNVCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251105000453 FL Practitioner - Nurse Practitioner 6002060084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heme Onc CallGroup PAC ID 1658702527, 12 clinicians

Practice addresses (Care Compare)

8255 S Dixie Hwy
Miami, FL 33143-7717
Phone (305) 458-1384

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN001289NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heme Onc Call CurrentSince Oct 21, 2025 Accepting new patients
East Fork Fire Protection District Past Accepting new patients
Maria Sheila Sta. Maria-Torres MD Inc Past Accepting new patients

Locations

9850 Stirling Rd
Ste 100
Hollywood, FL 33024
Phone (786) 567-8310

8255 S Dixie Hwy
Miami, FL 33143
Phone (305) 458-1384

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IJABCD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1114215381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 WATERLOO LN",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894105385",
            "telephone_number": "775-782-9038",
            "fax_number": "775-782-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 WATERLOO LN",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894105385",
            "telephone_number": "775-782-9038",
            "fax_number": "775-782-9043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER-VRENON",
        "first_name": "ERIN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-21",
        "last_updated": "2021-12-29",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN001289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12400702",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardnerville, NV

Sources for this page

Verify at the official NPI Registry.